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Organization
KETTLE MORAINE YMCA, INC. YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization
KETTLE MORAINE YMCA, INC. YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB JOHNSON (EXECUTIVE DIRECTOR)
(262) 247-1006
Entity
Organization
Contact information
Practice address
1111 W WASHINGTON ST, WEST BEND, WI 53095-2433
(262) 334-3405
(262) 334-5414
Mailing address
1111 W WASHINGTON ST, WEST BEND, WI 53095-2433
(262) 334-3405
(262) 334-5414
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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